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Title 10 — Armed Forces

Part II · Chapter 53 — Miscellaneous Rights and Benefits

§ 1040. Transportation of dependent patients

Statutory text

(a)
(1)

Except as provided in subsection (b), if a dependent accompanying a member of the uniformed services who is stationed outside the United States or in Alaska or Hawaii and who is on active duty for a period of more than 30 days requires medical attention which is not available in the locality, transportation of the dependents at the expense of the United States is authorized to the nearest appropriate medical facility in which adequate medical care is available. On his recovery or when it is administratively determined that the patient should be removed from the medical facility involved, the dependent may be transported at the expense of the United States to the duty station of the member or to such other place determined to be appropriate under the circumstances. If a dependent is unable to travel unattended, travel and transportation allowances may be furnished to necessary attendants. The dependents and any attendants shall be furnished such travel and transportation allowances as specified in regulations prescribed under section 464 of title 37. Travel expenses authorized by this section may include reimbursement for necessary local travel in the vicinity of the medical facility involved. The transportation and travel expenses authorized by this section may be paid in advance.

(2)
(A)

Except as provided by subparagraph (E), for purposes of paragraph (1), required medical attention of a dependent includes, in the case of a dependent authorized to accompany a member at a location described in that paragraph, obstetrical anesthesia services for childbirth equivalent to the obstetrical anesthesia services for childbirth available in a military treatment facility in the United States.

(B)

In the case of a dependent at a remote location outside the continental United States who elects services described in subparagraph (A) and for whom air transportation would be needed to travel under paragraph (1) to the nearest appropriate medical facility in which adequate medical care is available, the Secretary may authorize the dependent to receive transportation under that paragraph to the continental United States and be treated at the military treatment facility that can provide appropriate obstetrical services that is nearest to the closest port of entry into the continental United States from such remote location.

(C)

The second through sixth sentences of paragraph (1) shall apply to a dependent provided transportation by reason of this paragraph.

(D)

The total cost incurred by the United States for the provision of transportation and expenses (including per diem) with respect to a dependent by reason of this paragraph may not exceed the cost the United States would otherwise incur for the provision of transportation and expenses with respect to that dependent under paragraph (1) if the transportation and expenses were provided to that dependent without regard to this paragraph.

(E)

The Secretary may not provide transportation to a dependent under this paragraph if the Secretary determines that—

(i)

the dependent would otherwise receive obstetrical anesthesia services at a military treatment facility; and

(ii)

such facility, in carrying out the required number of necessary obstetric cases, would not maintain competency of its obstetrical staff unless the facility provides such services to such dependent.

(b)

This section does not authorize transportation and travel expenses for a dependent for elective surgery which is determined to be not medically indicated by a medical authority designated under joint regulations to be prescribed under this section.

(c)

In this section, the term “dependent” has the meaning given that term in section 1072 of this title.

Legislative history

Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.

  1. Pub. L. 89–140 § 1(1) · 79 Stat. 579

    Enacted · 10 U.S.C. § 1040

    Added Pub. L. 89–140, § 1(1), Aug. 28, 1965, 79 Stat. 579

    Source evidence

    Code source credit
    Added Pub. L. 89–140, § 1(1), Aug. 28, 1965, 79 Stat. 579

    Enacted provision · exact public law section
    (1) by adding the following new section at the end thereof: “§ 1040. Transportation of dependent patients “(a) Except as provided in subsection (b), if a dependent accompanying a member of the uniformed services who is stationed outside the United States and who is on active duty for a period of more than thirty days requires medical attention which is nor available in the locality, transportation of the dependents at the expense of the United States is authorized to the nearest appropriate medical facility in which adequate medical care is available. On his recovery or when it is administratively determined that the patient should be removed from the medical facility involved, the dependent may be transported at the expense of the United States to the duty station of the member or to such other, place determined to be appropriate under the circumstances. If a dependent is unable to travel unattended, round-trip transportation and travel expenses may be furnished necessary attendants. “(b) This section does not authorize transportation and travel expenses for a dependent for elective surgery which is determined to be not medically indicated by a medical authority designated under joint regulations to be prescribed under this section. “(c) ‘Dependent’ and ‘uniformed services’ in this section have the Definitions. 72 Stat. 1446. meanings of those terms as defined in section 1072 of this title. “(d) Transportation and travel expenses authorized by this section shall be furnished in accordance with joint regulations to be prescribed by the Secretary of the Treasury, the Secretary of Defense, the Secretary of Commerce, and the Secretary of Health, Education, and Welfare, which shall require the use of transportation facilities of the United States insofar as practicable.”; and

  2. Defense Officer Personnel Management Act

    Pub. L. 96–513 title V § 511(32) · 94 Stat. 2835

    Substituted · 10 U.S.C. § 1040(d)

    Pub. L. 96–513 substituted “Secretary of Transportation” and “Secretary of Health and Human Services” for “Secretary of the Treasury” and “Secretary of Health, Education, and Welfare”, respectively

    Source evidence

    Code amendment note
    Subsec. (d). Pub. L. 96–513 substituted “Secretary of Transportation” and “Secretary of Health and Human Services” for “Secretary of the Treasury” and “Secretary of Health, Education, and Welfare”, respectively.

    Enacted provision · exact public law section
    (32) Subsection (d) of the first section 1040 is amended— (A) by striking out “Secretary of the Treasury” and inserting in lieu thereof “Secretary of Transportation”; and (B) by striking out “Secretary of Health, Education, and Welfare” and inserting in lieu thereof “Secretary of Health and Human Services”.

  3. Department of Defense Authorization Act, 1984

    Pub. L. 98–94 title IX § 913(b) · 97 Stat. 614

    Inserted · 10 U.S.C. § 1040(a)

    Pub. L. 98–94 inserted “, and such expenses may be paid in advance” after “attendants”

    Source evidence

    Code amendment note
    Subsec. (a). Pub. L. 98–94 inserted “, and such expenses may be paid in advance” after “attendants”.

  4. Department of Defense Authorization Act, 1985

    Pub. L. 98–525 § 1405(21) · 98 Stat. 2492

    Substituted · 10 U.S.C. § 1040(a)

    Pub. L. 98–525, § 1405(21), substituted “30” for “thirty”

    Source evidence

    Code amendment note
    Subsec. (a). Pub. L. 98–525, § 1405(21), substituted “30” for “thirty”.

    Enacted provision · exact public law section
    (21) Section 1040(a) is amended by striking out “thirty” and inserting in lieu thereof “30”.

  5. Department of Defense Authorization Act, 1985

    Pub. L. 98–525 § 611 · 98 Stat. 2492

    Changed · 10 U.S.C. § 1040(a)

    Pub. L. 98–525, § 611, made provisions of section applicable to a dependent accompanying a member of the uniformed services stationed in Alaska or Hawaii

    Target inherited from the preceding amendment note.

    Source evidence

    Code amendment note
    Pub. L. 98–525, § 611, made provisions of section applicable to a dependent accompanying a member of the uniformed services stationed in Alaska or Hawaii.

    Enacted provision · exact public law section
    Sec. 611. emergency medical transportation for dependents of members stationed in alaska or hawaii Effective on October 1, 1984, section 1040(a) of title 10, United States Code, is amended by inserting “or in Alaska or Hawaii” after “outside the United States”.

  6. Pub. L. 99–348 title III § 304(a)(2) · 100 Stat. 682

    Substituted · 10 U.S.C. § 1040(c)

    Pub. L. 99–348 substituted “In this section, the term ‘dependent’ has the meaning given that term in” for “ ‘Dependent’ and ‘uniformed services’ in this section have the meanings of those terms as defined in”

    Source evidence

    Code amendment note
    Subsec. (c). Pub. L. 99–348 substituted “In this section, the term ‘dependent’ has the meaning given that term in” for “ ‘Dependent’ and ‘uniformed services’ in this section have the meanings of those terms as defined in”.

    Enacted provision · exact public law section
    (2) Section 1040(c) is amended by striking out “‘Dependent’ and ‘uniformed services’ in this section have the meanings of those terms as defined in” and inserting in lieu thereof “In this section, the term ‘dependent’ has the meaning given that term in”.

  7. Department of Defense Authorization Act, 1987

    Pub. L. 99–661 div. A title VI § 616(a) · 100 Stat. 3816

    Substituted · 10 U.S.C. § 1040(a)

    Pub. L. 99–661 substituted “In addition to transportation of a dependent at the expense of the United States authorized under this subsection, reasonable travel expenses incurred in connection with the transportation of the dependent may be paid at the expense of the United States. Travel expenses authorized by this section may include reimbursement for necessary local travel in the vicinity of the medical facility involved. The transportation and travel expenses authorized by this section may be paid in advance” for “, and such expenses may be paid in advance”

    Source evidence

    Code amendment note
    Subsec. (a). Pub. L. 99–661 substituted “In addition to transportation of a dependent at the expense of the United States authorized under this subsection, reasonable travel expenses incurred in connection with the transportation of the dependent may be paid at the expense of the United States. Travel expenses authorized by this section may include reimbursement for necessary local travel in the vicinity of the medical facility involved. The transportation and travel expenses authorized by this section may be paid in advance” for “, and such expenses may be paid in advance”.

    Enacted provision · exact public law section
    (a) In General.— Section 1040(a) of title 10, United States Code, is amended by striking out the comma after “attendants” and all that follows in the third sentence and inserting in lieu thereof a period and the following: “In addition to transportation of a dependent at the expense of the United States authorized under this subsection, reasonable travel expenses incurred in connection with the transportation of the dependent may be paid at the expense of the United States. Travel expenses authorized by this section may include reimbursement for necessary local travel in the vicinity of the medical facility involved. The transportation and travel expenses authorized by this section may be paid in advance.”.

    Effective date note
    Pub. L. 99–661, div. A, title VI, § 616(b), Nov. 14, 1986, 100 Stat. 3880, provided that: “The amendment made by subsection (a) [amending this section] shall apply only to travel performed on or after the date of the enactment of this Act [Nov. 14, 1986].”

  8. National Defense Authorization Act for Fiscal Year 2012

    Pub. L. 112–81 div. A title VII § 705 · 125 Stat. 1298

    1. Amended · 10 U.S.C. § 1040(a)

      Pub. L. 112–81 designated existing provisions as par. (1)

    2. Added · 10 U.S.C. § 1040(a)

      Pub. L. 112–81 added par. (2)

    Source evidence

    Code amendment note
    Subsec. (a). Pub. L. 112–81 designated existing provisions as par. (1) and added par. (2).

    Enacted provision · exact public law section
    SEC. 705. TRAVEL FOR ANESTHESIA SERVICES FOR CHILDBIRTH FOR COMMAND-SPONSORED DEPENDENTS OF MEMBERS ASSIGNED TO REMOTE LOCATIONS OUTSIDE THE CONTINENTAL UNITED STATES.   Section 1040(a) of title 10, United States Code, is amended— (1) by inserting “(1)” after “(a)”; and (2) by adding at the end the following new paragraph: “(2) (A) Except as provided by subparagraph (E), for purposes of paragraph (1), required medical attention of a dependent includes, in the case of a dependent authorized to accompany a member at a location described in that paragraph, obstetrical anesthesia services for childbirth equivalent to the obstetrical anesthesia services for childbirth available in a military treatment facility in the United States. “(B) In the case of a dependent at a remote location outside the continental United States who elects services described in subparagraph (A) and for whom air transportation would be needed to travel under paragraph (1) to the nearest appropriate medical facility in which adequate medical care is available, the Secretary may authorize the dependent to receive transportation under that paragraph to the continental United States and be treated at the military treatment facility that can provide appropriate obstetrical services that is nearest to the closest port of entry into the continental United States from such remote location. “(C) The second through sixth sentences of paragraph (1) shall apply to a dependent provided transportation by reason of this paragraph. “(D) The total cost incurred by the United States for the provision of transportation and expenses (including per diem) with respect to a dependent by reason of this paragraph may not exceed the cost the United States would otherwise incur for the provision of transportation and expenses with respect to that dependent under paragraph (1) if the transportation and expenses were provided to that dependent without regard to this paragraph. “(E) The Secretary may not provide transportation to a dependent under this paragraph if the Secretary determines that— “(i) the dependent would otherwise receive obstetrical anesthesia services at a military treatment facility; and “(ii) such facility, in carrying out the required number of necessary obstetric cases, would not maintain competency of its obstetrical staff unless the facility provides such services to such dependent. “(F) The authority under this paragraph shall expire on September 30, 2016.” .

  9. National Defense Authorization Act for Fiscal Year 2014

    Pub. L. 113–66 § 621(b)(1) · 127 Stat. 672

    Substituted · 10 U.S.C. § 1040(a)(1)

    Pub. L. 113–66, § 621(b)(1), substituted “travel and transportation allowances may be furnished to necessary attendants. The dependents and any attendants shall be furnished such travel and transportation allowances as specified in regulations prescribed under section 464 of title 37.” for “round-trip transportation and travel expenses may be furnished necessary attendants. In addition to transportation of a dependent at the expense of the United States authorized under this subsection, reasonable travel expenses incurred in connection with the transportation of the dependent may be paid at the expense of the United States”

    Source evidence

    Code amendment note
    Subsec. (a)(1). Pub. L. 113–66, § 621(b)(1), substituted “travel and transportation allowances may be furnished to necessary attendants. The dependents and any attendants shall be furnished such travel and transportation allowances as specified in regulations prescribed under section 464 of title 37.” for “round-trip transportation and travel expenses may be furnished necessary attendants. In addition to transportation of a dependent at the expense of the United States authorized under this subsection, reasonable travel expenses incurred in connection with the transportation of the dependent may be paid at the expense of the United States”.

    Enacted provision · exact public law section
    (1) in subsection (a)(1), by striking “round-trip transportation” and all that follows through “may be paid at the expense of the United States” and inserting “travel and transportation allowances may be furnished to necessary attendants. The dependents and any attendants shall be furnished such travel and transportation allowances as specified in regulations prescribed under section 464 of title 37.”; and

  10. National Defense Authorization Act for Fiscal Year 2014

    Pub. L. 113–66 § 621(b)(2) · 127 Stat. 672

    Struck · 10 U.S.C. § 1040(d)

    Pub. L. 113–66, § 621(b)(2), struck out subsec. (d) which read as follows: “Transportation and travel expenses authorized by this section shall be furnished in accordance with joint regulations to be prescribed by the Secretary of Transportation, the Secretary of Defense, the Secretary of Commerce, and the Secretary of Health and Human Services, which shall require the use of transportation facilities of the United States insofar as practicable.”

    Source evidence

    Code amendment note
    Subsec. (d). Pub. L. 113–66, § 621(b)(2), struck out subsec. (d) which read as follows: “Transportation and travel expenses authorized by this section shall be furnished in accordance with joint regulations to be prescribed by the Secretary of Transportation, the Secretary of Defense, the Secretary of Commerce, and the Secretary of Health and Human Services, which shall require the use of transportation facilities of the United States insofar as practicable.”

    Enacted provision · exact public law section
    (2) by striking subsection (d).

  11. Carl Levin and Howard P. ‘Buck’ McKeon National Defense Authorization Act for Fiscal Year 2015

    Pub. L. 113–291 div. A title X § 1071(f)(11) · 128 Stat. 3292

    Substituted · 10 U.S.C. § 1040(a)(1)

    Pub. L. 113–291 substituted “37.” for “37..”

    Source evidence

    Code amendment note
    Subsec. (a)(1). Pub. L. 113–291 substituted “37.” for “37..”.

    Enacted provision · exact public law section
    (11) Section 1040(a)(1) is amended by striking “..” and inserting a period.

  12. National Defense Authorization Act for Fiscal Year 2016

    Pub. L. 114–92 div. A title VII § 721 · 129 Stat. 726

    Struck · 10 U.S.C. § 1040(a)(2)(F)

    Pub. L. 114–92 struck out subpar. (F) which read as follows: “The authority under this paragraph shall expire on September 30, 2016.”

    Source evidence

    Code amendment note
    Subsec. (a)(2)(F). Pub. L. 114–92 struck out subpar. (F) which read as follows: “The authority under this paragraph shall expire on September 30, 2016.”

    Enacted provision · exact public law section
    SEC. 721. PROVISION OF TRANSPORTATION OF DEPENDENT PATIENTS RELATING TO OBSTETRICAL ANESTHESIA SERVICES.   Section 1040(a)(2) of title 10, United States Code, is amended by striking subparagraph (F).

12 of 13 references resolved to an enrolled provision · 1 partial

Editorial Notes

Codification

Another section 1040 was renumbered section 1041 of this title.

Another section 1040, related to free postage from combat zones, was added by Pub. L. 89–132, § 9(a), , 79 Stat. 548, prior to repeal by Pub. L. 89–315, § 3(a), , 79 Stat. 1164. See section 3401 et seq. of Title 39, Postal Service.

Amendments1980–2015 · 8 rounds

2015

Subsec. (a)(2)(F). Pub. L. 114–92 struck out subpar. (F) which read as follows: “The authority under this paragraph shall expire on .”

2014

Subsec. (a)(1). Pub. L. 113–291 substituted “37.” for “37..”.

2013

Subsec. (a)(1). Pub. L. 113–66, § 621(b)(1), substituted “travel and transportation allowances may be furnished to necessary attendants. The dependents and any attendants shall be furnished such travel and transportation allowances as specified in regulations prescribed under section 464 of title 37.” for “round-trip transportation and travel expenses may be furnished necessary attendants. In addition to transportation of a dependent at the expense of the United States authorized under this subsection, reasonable travel expenses incurred in connection with the transportation of the dependent may be paid at the expense of the United States”.

Subsec. (d). Pub. L. 113–66, § 621(b)(2), struck out subsec. (d) which read as follows: “Transportation and travel expenses authorized by this section shall be furnished in accordance with joint regulations to be prescribed by the Secretary of Transportation, the Secretary of Defense, the Secretary of Commerce, and the Secretary of Health and Human Services, which shall require the use of transportation facilities of the United States insofar as practicable.”

2011

Subsec. (a). Pub. L. 112–81 designated existing provisions as par. (1) and added par. (2).

1986

Subsec. (a). Pub. L. 99–661 substituted “In addition to transportation of a dependent at the expense of the United States authorized under this subsection, reasonable travel expenses incurred in connection with the transportation of the dependent may be paid at the expense of the United States. Travel expenses authorized by this section may include reimbursement for necessary local travel in the vicinity of the medical facility involved. The transportation and travel expenses authorized by this section may be paid in advance” for “, and such expenses may be paid in advance”.

Subsec. (c). Pub. L. 99–348 substituted “In this section, the term ‘dependent’ has the meaning given that term in” for “ ‘Dependent’ and ‘uniformed services’ in this section have the meanings of those terms as defined in”.

1984

Subsec. (a). Pub. L. 98–525, § 1405(21), substituted “30” for “thirty”.

Pub. L. 98–525, § 611, made provisions of section applicable to a dependent accompanying a member of the uniformed services stationed in Alaska or Hawaii.

1983

Subsec. (a). Pub. L. 98–94 inserted “, and such expenses may be paid in advance” after “attendants”.

1980

Subsec. (d). Pub. L. 96–513 substituted “Secretary of Transportation” and “Secretary of Health and Human Services” for “Secretary of the Treasury” and “Secretary of Health, Education, and Welfare”, respectively.

Statutory Notes and Related Subsidiaries

Effective Date of 1986 Amendment

Pub. L. 99–661, div. A, title VI, § 616(b), , 100 Stat. 3880, provided that: “The amendment made by subsection (a) [amending this section] shall apply only to travel performed on or after the date of the enactment of this Act [].”

Effective Date of 1984 Amendment

Pub. L. 98–525, title VI, § 611, , 98 Stat. 2538, provided that the amendment made by that section is effective .

Effective Date of 1983 Amendment

Pub. L. 98–94, title IX, § 913(c), , 97 Stat. 640, provided that: “The amendments made by subsections (a) and (b) [amending this section and section 1036 of this title] shall apply to travel performed by escorts or attendants of dependents on or after the date of the enactment of this Act [].”

Effective Date of 1980 Amendment

Amendment by Pub. L. 96–513 effective , see section 701(b)(3) of Pub. L. 96–513, set out as a note under section 101 of this title.

Credits

1965–2015 · 10 acts
  1. 1965Added Pub. L. 89–140, § 1(1), , 79 Stat. 579
  2. 1980amended Pub. L. 96–513, title V, § 511(32), , 94 Stat. 2922
  3. 1983Pub. L. 98–94, title IX, § 913(b), , 97 Stat. 640
  4. 1984Pub. L. 98–525, title VI, § 611, title XIV, § 1405(21), , 98 Stat. 2538, 2623
  5. 1986Pub. L. 99–348, title III, § 304(a)(2), , 100 Stat. 703
  6. 1986Pub. L. 99–661, div. A, title VI, § 616(a), , 100 Stat. 3880
  7. 2011Pub. L. 112–81, div. A, title VII, § 705, , 125 Stat. 1473
  8. 2013Pub. L. 113–66, div. A, title VI, § 621(b), , 127 Stat. 783
  9. 2014Pub. L. 113–291, div. A, title X, § 1071(f)(11), , 128 Stat. 3510
  10. 2015Pub. L. 114–92, div. A, title VII, § 721, , 129 Stat. 869.
Show as published

(Added Pub. L. 89–140, § 1(1), , 79 Stat. 579; amended Pub. L. 96–513, title V, § 511(32), , 94 Stat. 2922; Pub. L. 98–94, title IX, § 913(b), , 97 Stat. 640; Pub. L. 98–525, title VI, § 611, title XIV, § 1405(21), , 98 Stat. 2538, 2623; Pub. L. 99–348, title III, § 304(a)(2), , 100 Stat. 703; Pub. L. 99–661, div. A, title VI, § 616(a), , 100 Stat. 3880; Pub. L. 112–81, div. A, title VII, § 705, , 125 Stat. 1473; Pub. L. 113–66, div. A, title VI, § 621(b), , 127 Stat. 783; Pub. L. 113–291, div. A, title X, § 1071(f)(11), , 128 Stat. 3510; Pub. L. 114–92, div. A, title VII, § 721, , 129 Stat. 869.)

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